tag:blogger.com,1999:blog-20056539.post3658184098467262248..comments2016-12-09T08:46:09.982-08:00Comments on Movin' Meat: Small Victories Part Twoshadowfaxhttp://www.blogger.com/profile/11648279307230813762noreply@blogger.comBlogger10125tag:blogger.com,1999:blog-20056539.post-66636545521931147352011-03-02T05:46:18.546-08:002011-03-02T05:46:18.546-08:00A kidney stone is a hard mass developed from cryst...A kidney stone is a hard mass developed from crystals that separate from the urine within the urinary tract. Normally, urine contains chemicals that prevent or inhibit the crystals from forming. These inhibitors do not seem to work for everyone,<br /><br /><a href="http://kidneystoneshelp.blogspot.com/" rel="nofollow">kidney stones</a>Steve Mickmanhttp://www.blogger.com/profile/01960784409239401838noreply@blogger.comtag:blogger.com,1999:blog-20056539.post-24986766231226722562008-01-22T01:59:00.000-08:002008-01-22T01:59:00.000-08:00This comment has been removed by a blog administrator.JJnoreply@blogger.comtag:blogger.com,1999:blog-20056539.post-24659388975098883112007-12-13T23:34:00.000-08:002007-12-13T23:34:00.000-08:00What constitutes a drug seeker? I am a RN that has...What constitutes a drug seeker? I am a RN that has worked in the ER and now in ICU. Every time I talk to a different person they have their very own definition. Sometimes all it takes is being on workers comp, other times it's a diagnosis of chronic back pain, chronic migraines anyone? fibromyalgia, kidney stones...I always thought a drug seeker was someone who regularly (at least once every two weeks) came to the ER and asked for narcotics irregardless of the severity of their diagnosis.<BR/>See that sneaky assumption that every doctor and nurse would always do a complete and thorough investigation of the presenting complaint every time and get a diagnosis?<BR/><BR/>I think this because where I have worked they made it compulsory not to leap to any moral judgments about people. We provide health care , we aren't experts on polite behaviour and being a good citizen so we realize we aren't qualified to make moral judgments about people.<BR/>This was made compulsory because a very dumb and mean doc and nurse judged that a gentlemen who came in complaining of agonizing back pain was a "drug seeker". They gave some Toradol and quickly gave him the boot.<BR/>He died shortly afterwards at home......<BR/>yes, dissection and finally rupture of an aortic aneurysm.<BR/>Neither one of these supervisors of morality even lifted the guys shirt.<BR/><BR/>I am always saddened by these posts. The sudden surprise, the shock and awe of discovering that all people will go for medical help when in enough pain. Sometimes that pain comes from medical problems caused by non prescribed medications. Our job is then to diagnose and treat, it could be nausea and anxiety from withdrawal or it could be something that will cause their immediate death.<BR/>I really, really wish people would keep their personal beliefs at home where they can lecture their spouse, kids, brothers, sisters and gramma about the right way to behave and just treat the medical problems with medical solutions at work.<BR/>Thanks for making sure this person got treatment and thanks for thinking of a plan to help her get through something so very painful.<BR/><BR/>Putting judgments aside and just doing what must be done and then doing it well all have become rare and vanishing acts as of late.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-20056539.post-31395633836986549502007-12-11T21:44:00.000-08:002007-12-11T21:44:00.000-08:00good thing u didnt kick her out, she could have su...good thing u didnt kick her out, she could have sued ur ass off lol. also im an opiate addict, im clean now thanks to buprenorphrine(subutex/suboxone). i was a drug-seeker before tho its funny to read about it now after 2 years of clean time . ers were my drug dealers.suboxistutenoreply@blogger.comtag:blogger.com,1999:blog-20056539.post-12137359463570215572007-12-06T23:25:00.000-08:002007-12-06T23:25:00.000-08:00I have decided I really enjoy your style. You are ...I have decided I really enjoy your style. You are intelligent and worldly. You strive not to judge a book by its cover. Instead, you think critically and manage to make your way through speed bumps in your way. <BR/>I can appreciate a physician with those qualities. You are rare. Never lose your spunk! Your patients are lucky to have you. <BR/><BR/>DISCLAIMER:<BR/><BR/>I am not a drug seeker. I work for a hospital in the pacific NW.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-20056539.post-12446819270160794632007-11-30T08:26:00.000-08:002007-11-30T08:26:00.000-08:00Yeah, go back to med school, be an MD and a DO. Dr...Yeah, go back to med school, be an MD and a DO. Dr. Dr. Shadowfax!Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-20056539.post-26511617810729663012007-11-29T21:23:00.000-08:002007-11-29T21:23:00.000-08:00Yeah, because any sort of manipulation is going to...Yeah, because any sort of manipulation is going to get rid of that kidney stone.BlackSailsnoreply@blogger.comtag:blogger.com,1999:blog-20056539.post-9836462190083019322007-11-29T13:01:00.000-08:002007-11-29T13:01:00.000-08:00I would strongly encourage you to look into Osteop...I would strongly encourage you to look into Osteopathic Manipulative Medicine. As a first year osteopathic medical student I've been blown away by what they can do for people with these treatmentsStudent Doctorhttp://www.blogger.com/profile/06287430609673244514noreply@blogger.comtag:blogger.com,1999:blog-20056539.post-75984870514165640972007-11-28T18:40:00.000-08:002007-11-28T18:40:00.000-08:00As a chronic back pain patient who is prone to kid...As a chronic back pain patient who is prone to kidney stones, I am glad to see that you did a work up on her. I am also glad to see that you followed the instructions by her physicians. I have heard more than once, "Your doctor doesn't work in this ER and I am going to treat you as I see fit..." In my case this has either snowed me (4 mg of Dilaudid IV plus valium and nausea meds... NAPTIME) or caused a bad case of hives or been told you are already on meds "Take 2 Tylenol"...<BR/><BR/>Thank you for being a good doc!Bekkahhttp://www.blogger.com/profile/01719638901993079026noreply@blogger.comtag:blogger.com,1999:blog-20056539.post-24779672416194852007-11-28T17:28:00.000-08:002007-11-28T17:28:00.000-08:00A great post. I also work part time in rural ED a...A great post. I also work part time in rural ED and part time in urban trauma center (though not as busy as yours). I have been impressed with how well the care plan system works in the little ED--but as you said, you have to treat everyone the same because you will be surprised.The House Whisperernoreply@blogger.com